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BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP P.C. NPI 1487694345


NPI Information

NPI: 1487694345
Provider Name: BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.

Other Name: GSH MEDICAL CARE, P.C.

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
20 GRAND ST
3RD FLOOR
WARWICK, NY
ZIP 10990
Phone: (845) 987-3906
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BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. is an internal medicine in Warwick, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. NPI is 1487694345. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Gsh Medical Care, P.c..

The provider's business location address is:

20 GRAND ST
3RD FLOOR
WARWICK, NY
ZIP 10990-035
Phone: (845) 987-3906
Fax: (845) 987-5979

The provider's authorized official is Lauri Quigley .
The authorized official title is Credentialing Manager and has the following contact phone number (845) 987-3906.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineYes
3207RG0100XInternal MedicineGastroenterologyNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7208600000XSurgeryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103313839MEDICAIDNEW YORK
20538477MEDICAIDNEW JERSEY
31022201690002MEDICAIDPENNSYLVANIA
4CG4866OTHERNEW YORKRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.